Citation

Peluso C, Luk J. Current Treatment Options in Pediatrics 2019; 5(2): 215-222.

Copyright

(Copyright © 2019)

DOI

10.1007/s40746-019-00160-9

PMID

unavailable

Abstract

PURPOSE of review: With the increased number of mass shootings in recent years, this paper seeks to review recent literature on the management of active shooter settings and the care for pediatric victims. Recent findings: Tactical Combat Casualty Care (TCCC) functions on the principal of expeditious recognition and aggressive treatment of preventable death on the battlefield. The Committee for Tactical Emergency Casualty Care (C-TECC) was formulated to translate the TCCC guidelines to the civilian population. The adaptation of C-TECC's guidelines have also considered the importance of real-world demographics, including the pediatric population. Summary: Pediatric C-TECC guidelines advise, if possible, that the patient should move to a position of safety. If not possible, risks and benefits should be weighed for rescue attempts in terms of the activity and safety of the situation. The practitioner should realize that time may be more limited for pediatric patients in terms of rescue and medical salvage. Prompt placement of tourniquets, hemostatic agents, and wound packing for hemorrhage control, especially in ongoing active threat scenarios, is recommended. However, guidelines like C-TECC are reactionary. The prevention of traumatic injury is still paramount and the goal will always be minimizing the chance of harm to the public prior to the injury occurring. © 2019, Springer Nature Switzerland AG.

Language: en

Keywords

Trauma; human; pediatrics; suicide; drowning; Review; hypothermia; Pediatric; resuscitation; traumatic brain injury; mortality; emergency care; priority journal; health care cost; hypotension; heart arrest; hemorrhagic shock; respiratory arrest; anesthesia; bradycardia; pneumothorax; idiopathic thrombocytopenic purpura; systolic blood pressure; hospital readmission; Active shooter; breathing rate; tracheotomy; epiglottis; respiration control; heart performance; heart stroke volume; mastoidectomy; Pre-hospital; tactical emergency casualty care; Tactical medicine